Permit CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested � ' U d AM PM
U / BLD
Location I I / 2 5+ d/(4S4 Suite MEC
Contact Person Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC / - j
Retaining Wall 441;" qlo- 60! 2S
•
Footing
Foundation NOT REQUESTED FPS
Ftg Drain FOUND DURING RESEARCH SGN
Slab
Crawl Drain NO INSPECTION__ (S) FOUND IN FILE "" V )
Post & Beam SIT
Ext Sheath /Shear 0/%6/
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler C( fi>' 11 7 / 7 tT7U4--i
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers EXP1
Final °
PASS PART FAIL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk 2 l // Inspector Ext
Date Ins
Other / V ` �
Final
t�
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
LIlY OF T RESTRICTED ENERGY
COMMUNITY DEVELOPMENT DEPARTMENT
PERMIT #: ELR96 -0125
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 839 -4171 DATE ISSUED: 114 / 19 / 96
PARCEL: 2S104BB -06300
•
SITE ADDRESS...: 14 127 SW STARDUST LN
SUBDIVISION CASTLE HILL ZONING:R -25 PD
BLOCK LOT •12104
Project Description: Installing residential burglar alarm.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO...: AUDIO & STEREO..: INTERCOM & PAGING..:
BURGLAR ALARM °X BOILER LANDSCAPE /IRRIGAT..:
GARAGE OPENER CLOCK MEDICAL
HVAC DATA /TELE COMM..: NURSE CALLS
VACUUM SYSTEM FIRE ALARM OUTDOOR LANDSC LITE:
OTHER: .. HVAC PROTECTIVE SIGNAL..:
INSTRUMENTATION.: OTHER..: ..
TOTAL # OF SYSTEMS: 0
Applicant: FEES —•—
ROBERT JONES type amount by date recpt
14127 SW STARDUST LN PRMT $ 40.00 CJS 04/19/96 96- 278418
5PCT $ 2.00 CJS 04/19/96 96- 278418
TIGARD OR 97223
Phone #:
Contractor:
aftISTRA25.041 ngt Std Pl2E $ 42.00 TOTAL
ADT
703 NE /- /a nCa lc REQUIRED INSPECTIONS
P0 I or. 97a'.2. Wall Cover Elect' 1 Final
Phone #: Elect'1 Service
Reg #.. .
This permit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other Permit e e Signature
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for more 7'J1 rGPj ,SA y,,`di-
than 180 days. Issued By
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for
sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
AUTHORIZED SIGNATURE: On Crpl� //f DATE: L/ -/9- 9/
LICENSE NO: /
Call for inspection — 639 -4175
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 PERMIT # EiR96 -O/ 01.5
/ ��n:�i� i �� 1F � \ Phone (503) 639 -4171
•
..
.. •
�A. �� � I TDD No5 684 -2772 DATE ISSUED 4'- 4.. 96 6
CITY OF TIGARD Inspection (503) 639 -4175 ISSUED BY CA at lex Sc%.it , dit
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
/ ii)
A/
Ad RESIDENTIAL — Restricted Energy ee
'' �hGA C� (Or 9Z 3 - 4 , �?S (FOR ALL SYSTEMS) 4
City State Zip Check Type of Work Involved:
PERMITS ARE NON - TRANSFERABLE AND NON - REFUNDABLE AND EXPIRE IF WORK ❑ Audio and Stereo Systems
IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR
180 DAYS. Burglar Alarm
2. CONTRACTOR APPLICATION El Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
Contractor Am SECURITY SYSTEM , l Type -' I ' I , ° I CO Vacuum Systems*
703 NE HAnCOCIL 0 Other
Address
PORTLAND, OR
A5026
Date 4 � / 6 COMMERCIAL — Fee for each system $40.00
/ o (SEE OAR 918- 260 -260)
Property Owner j A J .. ¥/f , /_ � /i !r_ Check Type of Work Involved:
Contractor's Board Reg. No. 6 ?9Vy' ❑ Audio and Stereo Systems
1 ❑ Boiler Controls
Phone # ❑ Clock Systems
3. OWNER APPLICATION ❑ Data Telecommunication Installations
❑ Fire Alarm Installation
.g79 //� ❑ HVAC
Print Owner's Name Phone o
❑ Instrumentation
Address ❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
City State Zip ❑ Medical
This permit is issued under OAR 918- 320 -370. This applicant agrees to make only ❑ Nurse Calls
restricted energy installations (100 volt amps or less) under this permit and to do the ❑ Outdoor Landscape Lighting*
following:
1. Only use electrical licensed persons to do installations where required. (Certain ❑ Protective Signaling
residential and other transactions are exempt from licensing. These have ❑ Other
asterisks( *). All others need licensing).
2. Call for an inspection when all of the installations under this permit are ready
for inspection at 503- 639 -4175.
❑ Number of Systems
3. Purchase separate permits for all installations that are not ready for inspection
when the inspector is out to inspect under this permit. • No licenses are required. Licenses are required for all other installations.
4. Assume responsibility for assuring that all corrections required by the inspector
are done, and
5. Assume responsibility for calling for a final inspection when all of the 5. FEES
corrections are completed.
,,rr��
The person signin :, . . ermit must be the applicant or a person a. Enter Fees $ I
,- U
authorize. ri bi e th:..plicant.
b. 5% Surcharge (.05 x total above) $ 6
,,
Sig- .ture TOTAL $ v
Authority if other than applicant
ENERGAP.CHP
•
3/9/00 Activities for Case. #: ELR96 -00125
1:02:07 PM
•
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELRA003 Application received - 4/19/96 CJS RECD CJS 4/19/96
ELRA010 Permit created 4/19/96 CJS PEND CJS 4/19/96
ELRA720 Wall Cover 4/19/96 CJS 4/19/96
•
ELRA730 Elect'I Service 4/19/96 CJS 4/19/96
ELRA799 Elect'l Final 4/19/96 ST 2/7/00 2/7/00- inspection request for
Hap
ELRA500 (F) Issue permit 4/19/96 CJS . PASS CJS 4/19/96
ELRA920 Miscellaneous action 5/28/98 CD - FAIL CD 5/28/98 no one home, left to res.
ELRA920 Miscellaneous action 6/18/98 CD FAIL CD 6/18/98 no one home, left notice to
schedule for final inspection.
ELRA580 Expired by limitation 2/21/00 TLP DONE No Hold AKJ 2/21/00
•
•
•
•
•
Page 1 of 1